locolorenzo22 11,455 Views
Joined: Jan 20, '04;
Posts: 2,449 (28% Liked)
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ortho neuro detox nurse, new tele nurse
We have barcoded meds, ships(instead of cows), and it is sometimes a challenge to wheel those through rooms, close enough to scan patients, and push around all shift(It's a real workout)...Personally, I like the computer because it breaks down charting by system and area needed, it seem to go faster...even on a bad night where you're running around the first few hours(like last nite) once you're used to it you can be done charting by 2300(start work at 1700)....then just charting updates....
GL. Just keep your head and don't settle for excuses...expect that your classmates will do their work...and make sure they do..
you know, if they start cracking down, then they might realize that it isn't going to happen...my hospital claims that 1/2 is the time frame...but I still use an hour...going on a year now and no one's ever said boo to me. However, within reason, I still try to be as close to on time as possible...i.e. antibiotics, pain meds, things that have a certain time frame of use(heparin/lovenox/etc)....I'm not going to hold up the scheduled tylenol for a patient because it's 725....
we use a SBAR sheet at my work....S(subject)=pt name, dx, day postop, docs on case, living situation, etc....Background=allergies, code status, important labs, Falls risk, medical hx....Assessment(all sections by system).....Recommendations....discharge plan, planned treatments, orders needed, etc....hope this helps....
We use computer charting in our workplace, where narrative charting is important for the admission assessment, and often the systems are broken down for all charting. However, I personally do not use the WDL section very often, I find it easier and more butt saving to do complete charting on every patient. If I can't seem to find a area where something fits, or if I have to chart exactly what happened if a patient started going south, the narrative section has saved my butt more than once....lesson learned the hard way here...when I got in trouble over a stupid patient who started making things up about me...
such is life...always chart more, not less, when in doubt....
Here's the number one thing that no one seems to be asking:...Do you have a budget already set with the income you KNOW you have? Too often, people head out without a good idea of the money that will be going right back out. You need to talk to a local school to figure out what's out there, apply for programs, try to talk to a admissions or financial aid counselor, and plan for working as a CNA for 10 bucks/hour....the standard average wage I've ever seen for starting... 10 bucks/hr x 12hrs times 3 days a week is only 360 bucks before tax every week....I went the A route....and it was tough...even though I was single....
The expierence was good for school and work...but remember you are likely to double your checks when you get that RN....GL whatever you decide.
Generally, I think that a expierenced RN would be the best one to have a preceptee....that being said, I've been on our unit about a year now....and we all have the relationship on night shift of.."I've done x, y, z....pt is still having x problem....would you give x, or do y, or call doc?" I would feel comfortable having a new grad with me...but would know that I would have to ask other staff ?s for some things and admit when "I don't know" would be the right answer.
yeah, i know...just had to vent that out there...I know, it just sucks when you know that working 2 jobs will be your life for a loooong time...plus you're saving for a wedding....
pag...yeah, I got some stuff replaced.....just sucks to have to deal with it...but i'm glad I'm finally back online!
Nothing get's piggybacked with blood....you prime the line with NS, then run the blood, when blood is done, go ahead and run NS through the rest....regarding incident reports, just the facts and then finish the rest. we have been doing chart checks at shift change, and oftenI'm the only one willing to do em. I found a order on a chart, written at 0730, at 1900....to stop a drug, start another, so I had to fill one out.
Don't like doing it, but pt safety comes first.
Usually being called in means you're in trouble.....on my floor, praise doesn't happen. You learn to take your comforts from the patients, not management.
Hi, all! Been off the boards for a while, due to not having a computer in the house since being robbed 2-3 months ago. Been lurking for a while, but with the gf computer, haven't had the time to post consistantly. I Have a problem...
Working nights, and with the economy, our census has been down. So what has my manager done? With all of this, and new grads coming, we will have a total of 19 nurses on night shift! Used to be you'd only get low census every 2-3 months, now it's every pay period! Thank goodness I have a second job 4-5 shifts a month at a nursing home...otherwise the bills would be short. With a 4 shift paycheck, I am only short on bills by 200/month, which I make up in one shift at the home.
Anybody else think the manger is mental? We have 2 theories:
1. The hospital is building a new addition to the back to open in 2 years, with another 3rd floor unit....possible that she is planning to shift 1/2 the crew over there?
2. Maybe she's just trying to get rid of some of the long termers who lose hours?
3. Or she's just crazy.....
Thanks for listening!
I admit that when you have 7-8 patients and a lot of things to do....the sitting and talking aspect goes way down....I always CARE. But I can't always take the time to sit down and talk and reassure ALL that would be needed. If the situation warrents, when things calm down, I would take my computer in there, charts and chart while reassuring her.
I work on a ortho/neuro floor, and when it comes to neurology, it depends on what each case presents with. back surgeries have post op orders, neuro checks, monitoring for numbness/tingling, etc. strokes have dysphagia screens, neuro checks, etc. It just depends on what you need to do.
Ok, perhaps I can bring a different perspective to this debate. In my previous life, before nursing school, I was a activity director for 3 years, working in a MI nursing home with residents 18-98 years old. It was TOUGH to deal with, because my budget worked out to a roughly .86 per resident per month(200 residents) roughly 350 bucks a month....it's tough to manage because EVERY activity expense(food, decor, supplies, bingo, etc) came out of that. I can remember doing bingo(for things like decor, deodorant, personal items, candy, tickets to be the first one at karoke, a guarenteed spot on a outing(as we could usually only take 10 at a time), etc)
It was tough to think up new ideas...and even tougher when staff was the first to critizise. That would make some residents not come simply because they heard the staff call the idea stupid.....Is there a dollar store around? It usually would make the budget go a little farther. We did do the aforementioned pajama party and PJ day...I found some old hugh hefner looking silk robe, and the residents referred to the office as the mansion for the rest of that day. It takes some creativity...but it depends on how much they have to spend and energy to do. There is the unmentioned paperwork, meetings, etc...that every director has to go through.
Why does your letter have to be anonymous? why not bring it up to them directly? See what the resident council is bringing up in their meetings....And don't be the first to judge another professional without doing their job for a day.. you wouldn't like it if they offered suggestions about how you needed to nurse differently....
Sometimes, we forget that our patients are upset and human. I've had people swear at me, try to blame me for things that I have no control over....and I am the only one who could allow them to make me feel that way. So I choose not to allow them to make me feel inadequate. It's not my problem that happens.
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